Provider Demographics
NPI:1568517506
Name:STEUER, KATHRYN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LEE
Last Name:STEUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:LEE
Other - Last Name:KNUTZEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:13 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611
Mailing Address - Country:US
Mailing Address - Phone:540-955-0812
Mailing Address - Fax:540-955-0813
Practice Address - Street 1:13 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611
Practice Address - Country:US
Practice Address - Phone:540-955-0812
Practice Address - Fax:540-955-0813
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236407207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
178172OtherBLUE CROSS
VA00W606K48Medicare PIN
F53357Medicare UPIN